HomeMy WebLinkAboutBUSINESS PLAN 6/21/2007f
„CAL WATER - sTn cBx-6
ii 5400 DEMARET AVENUE
UNIFIED PROGRi4M INSPECTION CHECKLIST
SECTION 1 Business Plan and Inventory -Program
Bakersfield Fire Dept...
Enironmental Services
1715 Chester Ave
Bakersfield, CA 9330.1
Tel: (661)326-3979
FACILITY NAME r INSPECTION DATE INSPECTION TIME
ADDRESS PHONE No. No. of Employees
~~ - -~~~-~.~~%~ --------. --- ------- _ a.ol Sa7~ 1
FACILITYCONTAC Business ID Number
. ` , -~ ~ is-o21- obz~~r y
Section 1: Business Plan and Inventory Program
Routine ^ Combined ®Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection
C V ~ V=V o atioinnce l OPERATION
I~ ^ APPROPRIATE JPERMIT ON HAND
i~ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
!t _
^ VERIFICATION OF MSDS AVAILABILITYE
^ VERIFICATION OF HAT MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
~J ^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE 8c ON HAND
COMMENTS
ANY HAZARDOUS WASTE ON 51TE~: ^ YES ^ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (66~~ 326-3979
nspec o -- ---_..._... - - ---- -Badge No.,
White • Environmental Services Yellow - Sletion Copy
Business ite esponsible Party
Pink -Business Copy
CALIFORNIA WATER SRV CBK-06 SiteID: 015-021-002944
Manager TIM TRELOAR
Location: 5400 DEMARET AVE
City BAKERSFIELD
CommCode: BFD STA 11
EPA Numb:
BusPhone: (661) 837-7200
Map 123 CommHaz High
Grid: 03B FacUnits: 1 AOV:
SIC Code:4941
DunnBrad:
Emergency Contact
TIM TRELOAR
Business Phone:
24-Hour Phone
Pager Phone
/ Title
/ DISTRICT MGR
(661) 837-7200x
(661) 837-7200x
( ) - x
Emergency Contact
RUDY VALLES
Business Phone:
24-Hour Phone
Pager Phone
/ Title
/ ASST DIST MGR
(661) 837-7271x
(661) 837-7271x
( ) - x
Hazmat Hazards: React ImmHlth
Contact BILL ROSICA Phone: (661) 837-7278x
MailAddr: 3725 S H ST State: CA
City BAKERSFIELD Zip 93304
Owner CITY OF BAKERSFIELD Phone: (661) 837-7200x
Address 1000 BUENA VISTA RD State: CA
City BAKERSFIELD Zip 93311
Period to
Preparers
Certif'd:
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG T - ABOVEGROUND STORAGE TANK
SITE CONTACT: PAUL ROCHA 201-5276
f:3as.d on my inq±,!iry of those individuals
respt~n;ii~ie for ot~taining the information, I certify
undr:> penalty of law chat I have personally
examined and am familiar with the information
suf~mitted and believe the information is true,
accurate, and complete.
Si n tore Da e
TotalASTs: _
TotalUSTs: _
RSs: No
EN~~ ~~~
~ ~ ~~~~
Gall
Gal
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_~
F CALIFORNIA WATER SRV CBK-06 SiteID: 015-021-002944 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
SODIUM HYPOCHLORITE R IH L 200.00 GAL Hi
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F CALIFORNIA WATER SRV CBK-06 SiteID: 015-021-002944 ~
~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
SODIUM HYPOCHLORITE Days On Site
365
Location within this Facility Unit Map: Grid:
CAS#
7681-52-9
Liquid TMixtur~ Ambient~E ~ AmbientT~E ABOVEOGROUNDRTANKE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
200.00 GAL 200.00 GAL 200.00 GAL
- nx~r-~tcl~uua ~:ulnrviVl;iV1~
oWt. RS CAS#
12.50 Sodium Hypochlorite No 7681529
ri1~GlittL A,55J;5~1~1~1V'1~
TSeCret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Hi
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F CALIFORNIA WATER SRV CBK-06 SiteID: 015-021-002944
Fast Format
~ Notif./Evacuation/Medical Overall Site
~ Agency Notification 04/12/2006
Employee Notif./Evacuation
Public Notif./Evacuation
Emergency Medical Plan 10/07/2005
MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL, TRUXTUN AVE.
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F CALIFORNIA WATER SRV CBK-06 SiteID: 015-021-002944 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 04/12/2006 ~
SITE IS VISITED DAILY BY A CWS EMPLOYEE WHO IS TRAINED IN HAZMAT REPORTING.
Release Containment 10/07/2005
SECONDARY CONTAINMENT.
~icaai vN
Other Resource Activation
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F CALIFORNIA WATER SRV CBK-06 SiteID: 015-021-002944 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
o~lC1:1011 nctGCliu~
Utility Shut-Offs 04/12/2006
ELECTRICAL: MAIN BREAKERS IN ELECT PANELS
WATER: WATER WELL
LOCK BOX: NO
Fire Protec./Avail. Water 10/18/2006
WATER AVAILABILITY - WELL DISCHARGE
Building Occupancy Level 03/13/2006
UNMANNED SITE
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F CALIFORNIA WATER SRV CBK-06 SiteID: 015-021-002944 ~
- Fast Format ~
~ Training Overall Site ~
~ Employee Training 04/12/2006 ~
MATERIAL SAFETY DATA SHEETS ON FILE IN BLDG.
BREIF SUNIMARY OF TRAINING PROGRAM: DAILY SITE VISITS ARE MADE BY PUMP
OPERATORS TRAINED IN HAZMAT REPORTING PROCEDURES. MONTHLY COMPANY SAFETY
PROGRAM ADDRESSES HAZMAT TRAINING.
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